ID

16110

Beschreibung

NINDS Common Data Elements, Multiple Sclerosis Physical Exam Used from the National Institute of Neurological Disorders and Stroke Common Data Elements (https://www.commondataelements.ninds.nih.gov/) References: Grinnon ST, Miller K, Marler JR, Lu Y, Stout A, Odenkirchen J, Kunitz S. National Institute of Neurological Disorders and Stroke Common Data Element Project - approach and methods. Clin Trials. 2012;9(3):322-9.

Link

https://www.commondataelements.ninds.nih.gov/

Stichworte

Versionen (1)
  1. 29.06.16 29.06.16 -
Hochgeladen am

29. Juni 2016

DOI

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NINDS CDE Physical Exam Multiple Sclerosis

Englisch

Physical Exam

1 Formulare  
  1. StudyEvent: ODM
    1. Physical Exam
Physical Exam
Beschreibung

Physical Exam

Alias
UMLS CUI-1
C0031809
Study ID
Beschreibung

Study ID

Datentyp

integer

Alias
UMLS CUI [1]
C2826693
Study site name
Beschreibung

Study site name

Datentyp

text

Alias
UMLS CUI [1]
C2825164
Subject ID
Beschreibung

Subject ID

Datentyp

integer

Alias
UMLS CUI [1]
C2348585
1. Date of Exam:
Beschreibung

Date Physical Exam

Datentyp

date

Alias
UMLS CUI [1,1]
C0011008
UMLS CUI [1,2]
C0031809
2. Was a physical exam performed on the participant/subject?
Beschreibung

Physical Exam

Datentyp

text

Alias
UMLS CUI [1]
C0031809
Table for Recording Results of Physical Exam
Beschreibung

Table for Recording Results of Physical Exam

Alias
UMLS CUI-1
C0031809
UMLS CUI-2
C0456984
Constitutional symptoms (e.g., fever, weight loss)
Beschreibung

Constitutional symptoms fever weight loss

Datentyp

text

Alias
UMLS CUI [1,1]
C0009812
UMLS CUI [1,2]
C0015967
UMLS CUI [1,3]
C1262477
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Eyes
Beschreibung

Eyes

Datentyp

text

Alias
UMLS CUI [1]
C0015392
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Ears, Nose, Mouth, and Throat
Beschreibung

Ears Nose Mouth Throat

Datentyp

text

Alias
UMLS CUI [1,1]
C0013443
UMLS CUI [1,2]
C0028429
UMLS CUI [1,3]
C1267547
UMLS CUI [1,4]
C0031354
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Cardiovascular
Beschreibung

Cardiovascular system

Datentyp

text

Alias
UMLS CUI [1]
C0007226
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Respiratory
Beschreibung

Respiratory system

Datentyp

text

Alias
UMLS CUI [1]
C0035237
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Gastrointestinal
Beschreibung

Gastrointestinal system

Datentyp

text

Alias
UMLS CUI [1]
C0012240
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Genitourinary
Beschreibung

Genitourinary system

Datentyp

text

Alias
UMLS CUI [1]
C0042066
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Musculoskeletal
Beschreibung

Musculoskeletal system

Datentyp

text

Alias
UMLS CUI [1]
C0026860
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Integumentary (skin and/or breast)
Beschreibung

Integumentary system

Datentyp

text

Alias
UMLS CUI [1]
C0037267
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Neurological
Beschreibung

Neurological system

Datentyp

text

Alias
UMLS CUI [1]
C0027853
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Psychiatric
Beschreibung

Psychiatric

Datentyp

text

Alias
UMLS CUI [1]
C0233402
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Endocrine
Beschreibung

Endocrine system

Datentyp

text

Alias
UMLS CUI [1]
C0014136
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Hematologic/Lymphatic
Beschreibung

Hematologic system; Lymphatic system

Datentyp

text

Alias
UMLS CUI [1]
C0279810
UMLS CUI [2]
C0024235
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
Allergic/Immunologic
Beschreibung

Immune system Allergic

Datentyp

text

Alias
UMLS CUI [1,1]
C0020962
UMLS CUI [1,2]
C0700624
Describe Abnormality or Comment if Body System is Not Examined
Beschreibung

Abnormal result Physical examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C0031809
If Abnormality, Clinically Significant?
Beschreibung

Clinically Significant Abnormal result Physical Examination

Datentyp

text

Alias
UMLS CUI [1,1]
C0459424
UMLS CUI [1,2]
C2826634
3. Hand preference: (Hand participant/subject uses predominately, not necessarily hand he/she writes with exclusively)
Beschreibung

hand predominant

Datentyp

text

Alias
UMLS CUI [1,1]
C0018563
UMLS CUI [1,2]
C1542147
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Ähnliche Modelle

Physical Exam

1 Formulare
  1. StudyEvent: ODM
    1. Physical Exam
Name
Typ
Description | Question | Decode (Coded Value)
Datentyp
Alias
Item Group
Physical Exam
C0031809 (UMLS CUI-1)
Study ID
Item
Study ID
integer
C2826693 (UMLS CUI [1])
Study site name
Item
Study site name
text
C2825164 (UMLS CUI [1])
Subject ID
Item
Subject ID
integer
C2348585 (UMLS CUI [1])
Date Physical Exam
Item
1. Date of Exam:
date
C0011008 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
2. Was a physical exam performed on the participant/subject?
text
C0031809 (UMLS CUI [1])
Physical Exam
Code List
2. Was a physical exam performed on the participant/subject?
CL Item
Yes (Specify results below) (1)
CL Item
No (2)
Item Group
Table for Recording Results of Physical Exam
C0031809 (UMLS CUI-1)
C0456984 (UMLS CUI-2)
Item
Constitutional symptoms (e.g., fever, weight loss)
text
C0009812 (UMLS CUI [1,1])
C0015967 (UMLS CUI [1,2])
C1262477 (UMLS CUI [1,3])
fever; weight loss
Code List
Constitutional symptoms (e.g., fever, weight loss)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Eyes
text
C0015392 (UMLS CUI [1])
fever; weight loss
Code List
Eyes
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Ears, Nose, Mouth, and Throat
text
C0013443 (UMLS CUI [1,1])
C0028429 (UMLS CUI [1,2])
C1267547 (UMLS CUI [1,3])
C0031354 (UMLS CUI [1,4])
fever; weight loss
Code List
Ears, Nose, Mouth, and Throat
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Cardiovascular
text
C0007226 (UMLS CUI [1])
fever; weight loss
Code List
Cardiovascular
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Respiratory
text
C0035237 (UMLS CUI [1])
fever; weight loss
Code List
Respiratory
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Gastrointestinal
text
C0012240 (UMLS CUI [1])
fever; weight loss
Code List
Gastrointestinal
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Genitourinary
text
C0042066 (UMLS CUI [1])
fever; weight loss
Code List
Genitourinary
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Musculoskeletal
text
C0026860 (UMLS CUI [1])
fever; weight loss
Code List
Musculoskeletal
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Integumentary (skin and/or breast)
text
C0037267 (UMLS CUI [1])
fever; weight loss
Code List
Integumentary (skin and/or breast)
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Neurological
text
C0027853 (UMLS CUI [1])
fever; weight loss
Code List
Neurological
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Psychiatric
text
C0233402 (UMLS CUI [1])
fever; weight loss
Code List
Psychiatric
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Endocrine
text
C0014136 (UMLS CUI [1])
fever; weight loss
Code List
Endocrine
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Hematologic/Lymphatic
text
C0279810 (UMLS CUI [1])
C0024235 (UMLS CUI [2])
fever; weight loss
Code List
Hematologic/Lymphatic
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
Allergic/Immunologic
text
C0020962 (UMLS CUI [1,1])
C0700624 (UMLS CUI [1,2])
fever; weight loss
Code List
Allergic/Immunologic
CL Item
Normal (1)
CL Item
Abnormal (2)
CL Item
Not examined (3)
Abnormal result Physical examination
Item
Describe Abnormality or Comment if Body System is Not Examined
text
C0459424 (UMLS CUI [1,1])
C0031809 (UMLS CUI [1,2])
Item
If Abnormality, Clinically Significant?
text
C0459424 (UMLS CUI [1,1])
C2826634 (UMLS CUI [1,2])
Physical Examination Clinically Significant
Code List
If Abnormality, Clinically Significant?
CL Item
Clinically significant  (1)
CL Item
Not clinically significant (2)
Item
3. Hand preference: (Hand participant/subject uses predominately, not necessarily hand he/she writes with exclusively)
text
C0018563 (UMLS CUI [1,1])
C1542147 (UMLS CUI [1,2])
hand predominant
Code List
3. Hand preference: (Hand participant/subject uses predominately, not necessarily hand he/she writes with exclusively)
CL Item
Left hand  (1)
CL Item
Right hand  (2)
CL Item
Both hands  (3)
CL Item
Unknown (4)
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